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Individual

DR. THOMAS S. GARRIDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5158 BLACK HAWK RD, E-1570, MCHB-PH-VCR (MAJ GARRIDO), GUNPOWDER, MD 21010-5403
(410) 436-1006
Mailing address
5158 BLACK HAWK RD, E-1570, MCHB-PH-VCR (MAJ GARRIDO), GUNPOWDER, MD 21010-5403
(410) 436-1006

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0419
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0419
NV STATE LICENSE
NV
01
11565
CA STATE LICENSE
CA
Enumeration date
09/16/2006
Last updated
02/28/2017
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